Marian Chung, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D21615 Issued in MD

Practice address

2212 Shepherds Ridge Rd
Charlottesville, VA 22901-0674

Phone

(301) 335-2783

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1720489495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7972",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229067972",
            "telephone_number": "301-335-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 SHEPHERDS RIDGE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229010674",
            "telephone_number": "301-335-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D21615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Chu Luo, MD
• Yu Kim Dennis Chua, MBBS
• Shreeya S Chugh, MD
• David S Chung, MD
• Joseph Chung, MD
• Theresa Churillo
• David James Chvanov, AGACNP
• Jonathan Martin Ciambotti, MD
• Courtney Ciarrocca, PHARMD
• Cindy Lerner Counseling. LLC

• Internal Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.